Lepon, Primitiva .

HRN: 26-79-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2025
AZITHROMYCIN 500MG TABLET (TAB)
03/12/2025
03/16/2025
PO
500mg
OD
CAP-MR
Waiting Final Action 
03/12/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/12/2025
03/28/2025
IV
4.5g
Q8
CAP-MR
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: